Provider Demographics
NPI:1386484640
Name:LANDOR, MESHAUN L
Entity type:Individual
Prefix:
First Name:MESHAUN
Middle Name:L
Last Name:LANDOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MAGNOLIA KNEE DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-6189
Mailing Address - Country:US
Mailing Address - Phone:337-230-2650
Mailing Address - Fax:
Practice Address - Street 1:522 ORCHID DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-1328
Practice Address - Country:US
Practice Address - Phone:337-591-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-24
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)